Dupont Hospital LLC
Dupont Hospital LLC in Fort Wayne, IN publishes cash prices for 71 common procedures listed here, from its own machine-readable price file updated Apr 1, 2026. Click a procedure to compare it with other hospitals nearby.
2520 E. Dupont Rd Fort Wayne, IN 46825 Collected Sep 23, 2026 Source price file
Scans and imaging
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Enterography Abdomen Pelvis | $2,075.22 | $7,686.00 | 73% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Trauma Abdomen Pelvis W | $2,075.22 | $7,686.00 | 73% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Abd Pelvis W Pancreatic Protocol | $2,075.22 | $7,686.00 | 73% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 74177 CT-ABD PELVIS W | $2,075.22 | $7,686.00 | 73% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Abd Pelvis with Rectal W | $2,075.22 | $7,686.00 | 73% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Abdomen Pelvis W | $2,075.22 | $7,686.00 | 73% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT Abdomen Pelvis W | $3,458.70 | $7,686.00 | 55% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT Abd Pelvis W Pancreatic Protocol | $3,458.70 | $7,686.00 | 55% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT Abd Pelvis with Rectal W | $3,458.70 | $7,686.00 | 55% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT Enterography Abdomen Pelvis | $3,458.70 | $7,686.00 | 55% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT Trauma Abdomen Pelvis W | $3,458.70 | $7,686.00 | 55% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 74177 CT-ABD PELVIS W | $3,458.70 | $7,686.00 | 55% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT Trauma Head WO | $785.16 | $2,908.00 | 73% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT Head Stroke Alert | $785.16 | $2,908.00 | 73% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT Head or Brain WO | $785.16 | $2,908.00 | 73% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT Head or Brain WO | $1,308.60 | $2,908.00 | 55% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT Head Stroke Alert | $1,308.60 | $2,908.00 | 55% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT Trauma Head WO | $1,308.60 | $2,908.00 | 55% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT Pelvis W | $985.23 | $3,649.00 | 73% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT Pelvis with Rectal W | $985.23 | $3,649.00 | 73% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT Trauma Pelvis W | $985.23 | $3,649.00 | 73% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT Pelvis with Rectal W | $1,642.05 | $3,649.00 | 55% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT Trauma Pelvis W | $1,642.05 | $3,649.00 | 55% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT Pelvis W | $1,642.05 | $3,649.00 | 55% |
| Diagnostic mammogram, both breasts both sides CPT 77066 MG Mammo Diagnostic Bilateral WWO CAD | $225.99 | $837.00 | 73% |
| Diagnostic mammogram, both breasts both sides CPT 77066 77066 BR-DIG MAMMO BILAT | $225.99 | $837.00 | 73% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MG Mammo Diagnostic Bilateral WWO CAD | $376.65 | $837.00 | 55% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 77066 BR-DIG MAMMO BILAT | $376.65 | $837.00 | 55% |
| Diagnostic mammogram, one breast one side CPT 77065 MG Mammo Diagnostic Left WWO CAD | $163.08 | $604.00 | 73% |
| Diagnostic mammogram, one breast one side CPT 77065 MG Mammo Diagnostic Right WWO CAD | $163.08 | $604.00 | 73% |
| Diagnostic mammogram, one breast one side CPT 77065 77065 BR-DIG MAMMO UNILAT - RT | $163.08 | $604.00 | 73% |
| Diagnostic mammogram, one breast one side CPT 77065 77065 BR-DIG MAMMO UNILAT - LT | $163.08 | $604.00 | 73% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MG Mammo Diagnostic Left WWO CAD | $271.80 | $604.00 | 55% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 77065 BR-DIG MAMMO UNILAT - LT | $271.80 | $604.00 | 55% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 77065 BR-DIG MAMMO UNILAT - RT | $271.80 | $604.00 | 55% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MG Mammo Diagnostic Right WWO CAD | $271.80 | $604.00 | 55% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Hip Right WO | $971.46 | $3,598.00 | 73% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Knee Left WO | $971.46 | $3,598.00 | 73% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Ankle Right WO | $971.46 | $3,598.00 | 73% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Ankle Left WO | $971.46 | $3,598.00 | 73% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Knee Right WO | $971.46 | $3,598.00 | 73% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Hip Left WO | $971.46 | $3,598.00 | 73% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Hip Left WO | $1,619.10 | $3,598.00 | 55% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Knee Right WO | $1,619.10 | $3,598.00 | 55% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Knee Left WO | $1,619.10 | $3,598.00 | 55% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Hip Right WO | $1,619.10 | $3,598.00 | 55% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Ankle Left WO | $1,619.10 | $3,598.00 | 55% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Ankle Right WO | $1,619.10 | $3,598.00 | 55% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Hip Left WWO | $1,214.46 | $4,498.00 | 73% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Knee Left WWO | $1,214.46 | $4,498.00 | 73% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Ankle Left WWO | $1,214.46 | $4,498.00 | 73% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Knee Right WWO | $1,214.46 | $4,498.00 | 73% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Ankle Right WWO | $1,214.46 | $4,498.00 | 73% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Hip Right WWO | $1,214.46 | $4,498.00 | 73% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Hip Left WWO | $2,024.10 | $4,498.00 | 55% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Ankle Left WWO | $2,024.10 | $4,498.00 | 55% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Hip Right WWO | $2,024.10 | $4,498.00 | 55% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Knee Left WWO | $2,024.10 | $4,498.00 | 55% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Knee Right WWO | $2,024.10 | $4,498.00 | 55% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Ankle Right WWO | $2,024.10 | $4,498.00 | 55% |
| MRI of the brain, no contrast dye CPT 70551 MRI Brain WO | $971.46 | $3,598.00 | 73% |
| MRI of the brain, no contrast dye CPT 70551 MRI Brain WO Stroke Alert | $971.46 | $3,598.00 | 73% |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI Brain WO Stroke Alert | $1,619.10 | $3,598.00 | 55% |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI Brain WO | $1,619.10 | $3,598.00 | 55% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI Brain WWO | $1,432.35 | $5,305.00 | 73% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI Brain WWO | $2,387.25 | $5,305.00 | 55% |
| MRI of the lower back, no contrast dye CPT 72148 72148 MR-LUMB SPINE WO | $512.46 | $1,898.00 | 73% |
| MRI of the lower back, no contrast dye CPT 72148 MRI Spine Lumbar Limited WO | $757.89 | $2,807.00 | 73% |
| MRI of the lower back, no contrast dye CPT 72148 MRI Spine Lumbar WO | $757.89 | $2,807.00 | 73% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 72148 MR-LUMB SPINE WO | $854.10 | $1,898.00 | 55% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 MRI Spine Lumbar Limited WO | $1,263.15 | $2,807.00 | 55% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 MRI Spine Lumbar WO | $1,263.15 | $2,807.00 | 55% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 76805 Preg Compl. >14 Wks AMB | $137.16 | $508.00 | 73% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 76805 US Pregnancy After 1st Trimester Transabdomi | $137.16 | $508.00 | 73% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 76805 US-PELVIS PREG | $609.93 | $2,259.00 | 73% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US Pregnancy After 1st Trimester Transabdominal | $609.93 | $2,259.00 | 73% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 76805 US Pregnancy After 1st Trimester Transabdomi | $228.60 | $508.00 | 55% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 76805 Preg Compl. >14 Wks AMB | $228.60 | $508.00 | 55% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US Pregnancy After 1st Trimester Transabdominal | $1,016.55 | $2,259.00 | 55% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 76805 US-PELVIS PREG | $1,016.55 | $2,259.00 | 55% |
| Screening mammogram, both breasts both sides CPT 77067 MG Mammo Screen Bilateral WWO CAD | $238.95 | $885.00 | 73% |
| Screening mammogram, both breasts both sides CPT 77067 77067 BR-DIG MAMMO SCRN BI | $238.95 | $885.00 | 73% |
| Screening mammogram, both breasts one side CPT 77067 77067 BR-DIG MAMMO SCRN UN - RT | $238.95 | $885.00 | 73% |
| Screening mammogram, both breasts one side CPT 77067 77067 BR-DIG MAMMO SCRN UN - LT | $238.95 | $885.00 | 73% |
| Screening mammogram, both breasts one side CPT 77067 MG Mammo Screen Right WWO CAD | $238.95 | $885.00 | 73% |
| Screening mammogram, both breasts one side CPT 77067 MG Mammo Screen Left WWO CAD | $238.95 | $885.00 | 73% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 MG Mammo Screen Bilateral WWO CAD | $398.25 | $885.00 | 55% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 77067 BR-DIG MAMMO SCRN BI | $398.25 | $885.00 | 55% |
| Screening mammogram, both breasts inpatient one side CPT 77067 77067 BR-DIG MAMMO SCRN UN - RT | $398.25 | $885.00 | 55% |
| Screening mammogram, both breasts inpatient one side CPT 77067 77067 BR-DIG MAMMO SCRN UN - LT | $398.25 | $885.00 | 55% |
| Screening mammogram, both breasts inpatient one side CPT 77067 MG Mammo Screen Left WWO CAD | $398.25 | $885.00 | 55% |
| Screening mammogram, both breasts inpatient one side CPT 77067 MG Mammo Screen Right WWO CAD | $398.25 | $885.00 | 55% |
| Sleep study in a lab (polysomnography) CPT 95810 95810 POLYSOM 6/> YRS 4/> PARAM | $397.17 | $1,471.00 | 73% |
| Sleep study in a lab (polysomnography) CPT 95810 CHRG - POLYSOMNO GT4 GE6YO | $2,557.98 | $9,474.00 | 73% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 95810 POLYSOM 6/> YRS 4/> PARAM | $707.85 | $1,573.00 | 55% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 CHRG - POLYSOMNO GT4 GE6YO | $4,263.30 | $9,474.00 | 55% |
| Transvaginal pelvic ultrasound CPT 76830 76830 Vaginal, Non AMB | $77.49 | $287.00 | 73% |
| Transvaginal pelvic ultrasound CPT 76830 76830 US Transvaginal Non OB AMB | $77.49 | $287.00 | 73% |
| Transvaginal pelvic ultrasound CPT 76830 US Transvaginal Non OB | $410.67 | $1,521.00 | 73% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 76830 US Transvaginal Non OB AMB | $137.70 | $306.00 | 55% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 76830 Vaginal, Non AMB | $137.70 | $306.00 | 55% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 US Transvaginal Non OB | $684.45 | $1,521.00 | 55% |
| Ultrasound of the abdomen, complete CPT 76700 76700 US Abdomen Complete AMB | $92.88 | $344.00 | 73% |
| Ultrasound of the abdomen, complete CPT 76700 US Abdomen Complete | $648.00 | $2,400.00 | 73% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 76700 US Abdomen Complete AMB | $154.80 | $344.00 | 55% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 US Abdomen Complete | $1,080.00 | $2,400.00 | 55% |
| X-ray of the lower back, 4 or more views CPT 72110 XR Spine Lumbosacral Minimum 4 V CR | $133.38 | $494.00 | 73% |
| X-ray of the lower back, 4 or more views CPT 72110 XR Spine Lumbosacral Minimum 4 V DR | $532.98 | $1,974.00 | 73% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 72110 TC XR Spine Lumbosacral Minimum 4 V CR | $45.45 | $101.00 | 55% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 XR Spine Lumbosacral Minimum 4 V CR | $222.30 | $494.00 | 55% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 XR Spine Lumbosacral Minimum 4 V DR | $888.30 | $1,974.00 | 55% |
Lab tests
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 80048 METABOLIC PANEL TOTAL CA | $7.29 | $27.00 | 73% |
| Basic metabolic panel (blood test) CPT 80048 Basic Metabolic Panel (8) (RL) | $93.69 | $347.00 | 73% |
| Basic metabolic panel (blood test) CPT 80048 Basic Metabolic Panel w/Total Calcium | $93.69 | $347.00 | 73% |
| Basic metabolic panel (blood test) inpatient CPT 80048 80048 METABOLIC PANEL TOTAL CA | $12.15 | $27.00 | 55% |
| Basic metabolic panel (blood test) inpatient CPT 80048 Basic Metabolic Panel w/Total Calcium | $156.15 | $347.00 | 55% |
| Basic metabolic panel (blood test) inpatient CPT 80048 Basic Metabolic Panel (8) (RL) | $156.15 | $347.00 | 55% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 80061 Lipid Profile POC AMB -BCE | $19.98 | $74.00 | 73% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Profile POC AMB | $19.98 | $74.00 | 73% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 80061 LIPID PANEL | $119.88 | $444.00 | 73% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Panel With LDL/HDL Ratio (LC) | $119.88 | $444.00 | 73% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Panel w/Interpretations Rfx LDL DM | $119.88 | $444.00 | 73% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 80061 L33886 LIPID PANEL 889 | $119.88 | $444.00 | 73% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Panel | $119.88 | $444.00 | 73% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 80061 L235036 LIPID PANEL 889 | $119.88 | $444.00 | 73% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Panel (RL) | $119.88 | $444.00 | 73% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Panel with Reflex LDL Direct | $119.88 | $444.00 | 73% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Cascade w/Rflx to ApoliB LC | $119.88 | $444.00 | 73% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Panel w/ Chol/HDL Ratio (LC) | $119.88 | $444.00 | 73% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Panel w/Reflex LDL Direct Health Fair | $119.88 | $444.00 | 73% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Cascade LC | $119.88 | $444.00 | 73% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid Profile POC AMB | $33.30 | $74.00 | 55% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 80061 Lipid Profile POC AMB -BCE | $33.30 | $74.00 | 55% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid Panel | $199.80 | $444.00 | 55% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 80061 L33886 LIPID PANEL 889 | $199.80 | $444.00 | 55% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 80061 L235036 LIPID PANEL 889 | $199.80 | $444.00 | 55% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid Cascade w/Rflx to ApoliB LC | $199.80 | $444.00 | 55% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid Cascade LC | $199.80 | $444.00 | 55% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 80061 LIPID PANEL | $199.80 | $444.00 | 55% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid Panel With LDL/HDL Ratio (LC) | $199.80 | $444.00 | 55% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid Panel w/ Chol/HDL Ratio (LC) | $199.80 | $444.00 | 55% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid Panel (RL) | $199.80 | $444.00 | 55% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid Panel w/Interpretations Rfx LDL DM | $199.80 | $444.00 | 55% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid Panel w/Reflex LDL Direct Health Fair | $199.80 | $444.00 | 55% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid Panel with Reflex LDL Direct | $199.80 | $444.00 | 55% |
| Complete blood count (CBC) with differential CPT 85025 85025 COMPLETE CBC W/AUTO DIFF WBC | $7.83 | $29.00 | 73% |
| Complete blood count (CBC) with differential CPT 85025 85025 CBC W-PLT AUTO COMPD | $38.61 | $143.00 | 73% |
| Complete blood count (CBC) with differential CPT 85025 CBCWPLTA | $38.61 | $143.00 | 73% |
| Complete blood count (CBC) with differential CPT 85025 Complete Blood Count w/Diff Auto | $38.61 | $143.00 | 73% |
| Complete blood count (CBC) with differential CPT 85025 Complete Blood Count w/Diff Auto MW B | $38.61 | $143.00 | 73% |
| Complete blood count (CBC) with differential CPT 85025 Complete Blood Count w/Diff + Platelets (RL) | $38.61 | $143.00 | 73% |
| Complete blood count (CBC) with differential CPT 85025 Complete Blood Count w/Diff Auto MW | $38.61 | $143.00 | 73% |
| Complete blood count (CBC) with differential inpatient CPT 85025 85025 COMPLETE CBC W/AUTO DIFF WBC | $13.05 | $29.00 | 55% |
| Complete blood count (CBC) with differential inpatient CPT 85025 Complete Blood Count w/Diff Auto MW | $64.35 | $143.00 | 55% |
| Complete blood count (CBC) with differential inpatient CPT 85025 Complete Blood Count w/Diff + Platelets (RL) | $64.35 | $143.00 | 55% |
| Complete blood count (CBC) with differential inpatient CPT 85025 Complete Blood Count w/Diff Auto MW B | $64.35 | $143.00 | 55% |
| Complete blood count (CBC) with differential inpatient CPT 85025 Complete Blood Count w/Diff Auto | $64.35 | $143.00 | 55% |
| Complete blood count (CBC) with differential inpatient CPT 85025 CBCWPLTA | $64.35 | $143.00 | 55% |
| Complete blood count (CBC) with differential inpatient CPT 85025 85025 CBC W-PLT AUTO COMPD | $64.35 | $143.00 | 55% |
| Complete blood count (CBC), no differential CPT 85027 85027 COMPLETE CBC AUTOMATED | $6.48 | $24.00 | 73% |
| Complete blood count (CBC), no differential CPT 85027 Complete Blood Count w/Diff Manual MW A | $25.92 | $96.00 | 73% |
| Complete blood count (CBC), no differential CPT 85027 Complete Blood Count w/o Diff | $25.92 | $96.00 | 73% |
| Complete blood count (CBC), no differential CPT 85027 CBC, Platelet, No Differential (LC) | $25.92 | $96.00 | 73% |
| Complete blood count (CBC), no differential CPT 85027 85027 CBC W-PLT | $25.92 | $96.00 | 73% |
| Complete blood count (CBC), no differential CPT 85027 Complete Blood Count w/Reflex Differential Auto | $25.92 | $96.00 | 73% |
| Complete blood count (CBC), no differential CPT 85027 Complete Blood Count w/Reflex Differential Manual | $25.92 | $96.00 | 73% |
| Complete blood count (CBC), no differential inpatient CPT 85027 85027 COMPLETE CBC AUTOMATED | $10.80 | $24.00 | 55% |
| Complete blood count (CBC), no differential inpatient CPT 85027 85027 CBC W-PLT | $43.20 | $96.00 | 55% |
| Complete blood count (CBC), no differential inpatient CPT 85027 Complete Blood Count w/Reflex Differential Manual | $43.20 | $96.00 | 55% |
| Complete blood count (CBC), no differential inpatient CPT 85027 Complete Blood Count w/o Diff | $43.20 | $96.00 | 55% |
| Complete blood count (CBC), no differential inpatient CPT 85027 CBC, Platelet, No Differential (LC) | $43.20 | $96.00 | 55% |
| Complete blood count (CBC), no differential inpatient CPT 85027 Complete Blood Count w/Reflex Differential Auto | $43.20 | $96.00 | 55% |
| Complete blood count (CBC), no differential inpatient CPT 85027 Complete Blood Count w/Diff Manual MW A | $43.20 | $96.00 | 55% |
| Comprehensive metabolic panel (blood test) CPT 80053 Comprehensive Metabolic Panel | $128.52 | $476.00 | 73% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 80053 COMPREHEN METABOLIC PANEL | $17.10 | $38.00 | 55% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 Comprehensive Metabolic Panel | $214.20 | $476.00 | 55% |
| Kidney function blood test panel CPT 80069 Renal Function Panel | $148.23 | $549.00 | 73% |
| Kidney function blood test panel inpatient CPT 80069 Renal Function Panel | $247.05 | $549.00 | 55% |
| Liver function blood test panel CPT 80076 Hepatic Function Panel | $81.27 | $301.00 | 73% |
| Liver function blood test panel inpatient CPT 80076 Hepatic Function Panel | $135.45 | $301.00 | 55% |
| Obstetric blood test panel CPT 80055 Obstetrics Panel A CS | $77.49 | $287.00 | 73% |
| Obstetric blood test panel CPT 80055 Obstetric Panel CS | $77.49 | $287.00 | 73% |
| Obstetric blood test panel CPT 80055 Obstetric Panel CS INDH | $77.49 | $287.00 | 73% |
| Obstetric blood test panel inpatient CPT 80055 Obstetrics Panel A CS | $129.15 | $287.00 | 55% |
| Obstetric blood test panel inpatient CPT 80055 Obstetric Panel CS | $129.15 | $287.00 | 55% |
| Obstetric blood test panel inpatient CPT 80055 Obstetric Panel CS INDH | $129.15 | $287.00 | 55% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 84154 PSA, FREE | $87.48 | $324.00 | 73% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 84154 L480947 PSA, FREE | $87.48 | $324.00 | 73% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 %fPSA Reflex (LC) | $87.48 | $324.00 | 73% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 84154 L480780 PSA, FREE 889 | $87.48 | $324.00 | 73% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 84154 L480780 PSA, FREE 889 | $145.80 | $324.00 | 55% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 84154 L480947 PSA, FREE | $145.80 | $324.00 | 55% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 %fPSA Reflex (LC) | $145.80 | $324.00 | 55% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 84154 PSA, FREE | $145.80 | $324.00 | 55% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 84153 ASSAY OF PSA TOTAL | $18.09 | $67.00 | 73% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA (Reflex To Free) (Serial) LC | $64.53 | $239.00 | 73% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Prostate-Specific Ag, Serum RL | $79.92 | $296.00 | 73% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA, Serum (Serial Monitor) LC | $79.92 | $296.00 | 73% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 84153 PSA, TOTAL | $79.92 | $296.00 | 73% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 84153 L480947 PSA, TOTAL | $79.92 | $296.00 | 73% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA Total (Reflex To Free) (LC) | $79.92 | $296.00 | 73% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Prostate Specific Ag Total | $79.92 | $296.00 | 73% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 84153 L480780 PSA, TOTAL 889 | $79.92 | $296.00 | 73% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 84153 ASSAY OF PSA TOTAL | $30.15 | $67.00 | 55% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA (Reflex To Free) (Serial) LC | $107.55 | $239.00 | 55% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA, Serum (Serial Monitor) LC | $133.20 | $296.00 | 55% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 84153 L480780 PSA, TOTAL 889 | $133.20 | $296.00 | 55% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Prostate Specific Ag Total | $133.20 | $296.00 | 55% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA Total (Reflex To Free) (LC) | $133.20 | $296.00 | 55% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 84153 PSA, TOTAL | $133.20 | $296.00 | 55% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Prostate-Specific Ag, Serum RL | $133.20 | $296.00 | 55% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 84153 L480947 PSA, TOTAL | $133.20 | $296.00 | 55% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 85730 L503426 APTT 889 | $45.90 | $170.00 | 73% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Partial Thromboplastin Time | $45.90 | $170.00 | 73% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 85730 L500070 APTT 889 | $45.90 | $170.00 | 73% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 85730 THROMBOPLAST TIMEPTT | $45.90 | $170.00 | 73% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 85730 L117079 APTT 889 | $45.90 | $170.00 | 73% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Partial Thromboplastin Time | $76.50 | $170.00 | 55% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 85730 L500070 APTT 889 | $76.50 | $170.00 | 55% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 85730 L117079 APTT 889 | $76.50 | $170.00 | 55% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 85730 THROMBOPLAST TIMEPTT | $76.50 | $170.00 | 55% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 85730 L503426 APTT 889 | $76.50 | $170.00 | 55% |
| Prothrombin time (PT/INR) clotting test CPT 85610 85610 Prothrombin and INR POC AMB -BCE | $4.05 | $15.00 | 73% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin and INR POC AMB | $5.94 | $22.00 | 73% |
| Prothrombin time (PT/INR) clotting test CPT 85610 85610 L500070 PT 889 | $28.89 | $107.00 | 73% |
| Prothrombin time (PT/INR) clotting test CPT 85610 85610 L117079 PT 889 | $28.89 | $107.00 | 73% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time w/INR | $28.89 | $107.00 | 73% |
| Prothrombin time (PT/INR) clotting test CPT 85610 .ISTAT PT w/INR POC | $28.89 | $107.00 | 73% |
| Prothrombin time (PT/INR) clotting test CPT 85610 85610 PROTHROMBIN TIME | $28.89 | $107.00 | 73% |
| Prothrombin time (PT/INR) clotting test CPT 85610 .Protime w/INR POC | $28.89 | $107.00 | 73% |
| Prothrombin time (PT/INR) clotting test CPT 85610 85610 L503426 PT 889 | $28.89 | $107.00 | 73% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 85610 Prothrombin and INR POC AMB -BCE | $6.75 | $15.00 | 55% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Prothrombin and INR POC AMB | $9.90 | $22.00 | 55% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 85610 L117079 PT 889 | $48.15 | $107.00 | 55% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 85610 L500070 PT 889 | $48.15 | $107.00 | 55% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 85610 PROTHROMBIN TIME | $48.15 | $107.00 | 55% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 85610 L503426 PT 889 | $48.15 | $107.00 | 55% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 .Protime w/INR POC | $48.15 | $107.00 | 55% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 .ISTAT PT w/INR POC | $48.15 | $107.00 | 55% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Prothrombin Time w/INR | $48.15 | $107.00 | 55% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 84443 ASSAY THYROID STIM HORMONE | $16.47 | $61.00 | 73% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Thyroid Stimulating Hormone w/Reflex to Free T4 | $62.37 | $231.00 | 73% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 84443 THYROID STIM TSH | $62.37 | $231.00 | 73% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Thyroid Stimulating Hormone | $62.37 | $231.00 | 73% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH w/ Reflex to Free T4 (CQ) | $62.37 | $231.00 | 73% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 84443 NBS THYROID STIM TSH | $62.37 | $231.00 | 73% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH (RL) | $62.37 | $231.00 | 73% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH Pregnancy LC | $62.37 | $231.00 | 73% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 84443 ASSAY THYROID STIM HORMONE | $27.45 | $61.00 | 55% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH (RL) | $103.95 | $231.00 | 55% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 84443 NBS THYROID STIM TSH | $103.95 | $231.00 | 55% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH Pregnancy LC | $103.95 | $231.00 | 55% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 84443 THYROID STIM TSH | $103.95 | $231.00 | 55% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH w/ Reflex to Free T4 (CQ) | $103.95 | $231.00 | 55% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Thyroid Stimulating Hormone | $103.95 | $231.00 | 55% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Thyroid Stimulating Hormone w/Reflex to Free T4 | $103.95 | $231.00 | 55% |
| Urinalysis with microscope exam, automated CPT 81001 81001 Urinalysis Dipstick Auto w MicroSc POC AMB - | $4.59 | $17.00 | 73% |
| Urinalysis with microscope exam, automated CPT 81001 Urinalysis Dipstick Auto w MicroSc POC AMB | $4.59 | $17.00 | 73% |
| Urinalysis with microscope exam, automated CPT 81001 Urinalysis w/Micro Auto Rfx Culture | $39.96 | $148.00 | 73% |
| Urinalysis with microscope exam, automated CPT 81001 Reflex Microscopic Type? - Manual | $39.96 | $148.00 | 73% |
| Urinalysis with microscope exam, automated CPT 81001 .Bill Only DS Auto/MSc Reqd | $39.96 | $148.00 | 73% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 81001 Urinalysis Dipstick Auto w MicroSc POC AMB - | $7.65 | $17.00 | 55% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 Urinalysis Dipstick Auto w MicroSc POC AMB | $7.65 | $17.00 | 55% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 .Bill Only DS Auto/MSc Reqd | $66.60 | $148.00 | 55% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 Reflex Microscopic Type? - Manual | $66.60 | $148.00 | 55% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 Urinalysis w/Micro Auto Rfx Culture | $66.60 | $148.00 | 55% |
| Urinalysis with microscope exam, manual CPT 81000 81000 Urinalysis Dipstick POC AMB -BCE | $4.59 | $17.00 | 73% |
| Urinalysis with microscope exam, manual CPT 81000 Urinalysis Dipstick POC AMB | $4.59 | $17.00 | 73% |
| Urinalysis with microscope exam, manual CPT 81000 .Bill Only DS Man/MSc Reqd | $80.19 | $297.00 | 73% |
| Urinalysis with microscope exam, manual inpatient CPT 81000 81000 Urinalysis Dipstick POC AMB -BCE | $7.65 | $17.00 | 55% |
| Urinalysis with microscope exam, manual inpatient CPT 81000 Urinalysis Dipstick POC AMB | $7.65 | $17.00 | 55% |
| Urinalysis with microscope exam, manual inpatient CPT 81000 .Bill Only DS Man/MSc Reqd | $133.65 | $297.00 | 55% |
| Urinalysis without microscope exam, automated CPT 81003 Urinalysis Dipstick Auto w/o MicroSc POC AMB | $3.24 | $12.00 | 73% |
| Urinalysis without microscope exam, automated CPT 81003 81003 Urinalysis Dipstick Auto w/o MicroSc POC AMB | $3.24 | $12.00 | 73% |
| Urinalysis without microscope exam, automated CPT 81003 Reflex Microscopic Type? - Not Required | $24.30 | $90.00 | 73% |
| Urinalysis without microscope exam, automated CPT 81003 81003 L306266 UA AUTO WO S | $24.30 | $90.00 | 73% |
| Urinalysis without microscope exam, automated CPT 81003 Specific Gravity Urine Auto | $24.30 | $90.00 | 73% |
| Urinalysis without microscope exam, automated CPT 81003 Ketones Urine Dipstk Qual Automated | $24.30 | $90.00 | 73% |
| Urinalysis without microscope exam, automated CPT 81003 Dipstick Type? - Auto | $24.30 | $90.00 | 73% |
| Urinalysis without microscope exam, automated CPT 81003 .Bill Only DS Auto/No MSc | $24.30 | $90.00 | 73% |
| Urinalysis without microscope exam, automated CPT 81003 Urine Color Urine Dipstick | $24.30 | $90.00 | 73% |
| Urinalysis without microscope exam, automated CPT 81003 Blood Urine Dipstick Auto | $24.30 | $90.00 | 73% |
| Urinalysis without microscope exam, automated CPT 81003 Bilirubin Urine Dipstick Auto | $24.30 | $90.00 | 73% |
| Urinalysis without microscope exam, automated CPT 81003 Glucose Urine Dipstick Auto | $24.30 | $90.00 | 73% |
| Urinalysis without microscope exam, automated CPT 81003 Protein Urine Dipstick Auto | $24.30 | $90.00 | 73% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Urinalysis Dipstick Auto w/o MicroSc POC AMB | $5.40 | $12.00 | 55% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 81003 Urinalysis Dipstick Auto w/o MicroSc POC AMB | $5.40 | $12.00 | 55% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 81003 L306266 UA AUTO WO S | $40.50 | $90.00 | 55% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Blood Urine Dipstick Auto | $40.50 | $90.00 | 55% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Urine Color Urine Dipstick | $40.50 | $90.00 | 55% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 .Bill Only DS Auto/No MSc | $40.50 | $90.00 | 55% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Reflex Microscopic Type? - Not Required | $40.50 | $90.00 | 55% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Dipstick Type? - Auto | $40.50 | $90.00 | 55% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Glucose Urine Dipstick Auto | $40.50 | $90.00 | 55% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Bilirubin Urine Dipstick Auto | $40.50 | $90.00 | 55% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Specific Gravity Urine Auto | $40.50 | $90.00 | 55% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Ketones Urine Dipstk Qual Automated | $40.50 | $90.00 | 55% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Protein Urine Dipstick Auto | $40.50 | $90.00 | 55% |
| Urinalysis without microscope exam, manual CPT 81002 81002 Urinalysis Manual w/o MicroSc POC AMB -BCE | $3.78 | $14.00 | 73% |
| Urinalysis without microscope exam, manual CPT 81002 Urinalysis Manual w/o MicroSc POC AMB | $3.78 | $14.00 | 73% |
| Urinalysis without microscope exam, manual CPT 81002 Dipstick Type? - Manual | $64.53 | $239.00 | 73% |
| Urinalysis without microscope exam, manual CPT 81002 Ketones Ur Ql | $64.53 | $239.00 | 73% |
| Urinalysis without microscope exam, manual CPT 81002 Specific Gravity Urine Manual | $64.53 | $239.00 | 73% |
| Urinalysis without microscope exam, manual CPT 81002 .Urinalysis Manual w/o MicroSc POC | $64.53 | $239.00 | 73% |
| Urinalysis without microscope exam, manual CPT 81002 .Bill Only DS Man/No MSc | $64.53 | $239.00 | 73% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 Urinalysis Manual w/o MicroSc POC AMB | $6.30 | $14.00 | 55% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 81002 Urinalysis Manual w/o MicroSc POC AMB -BCE | $6.30 | $14.00 | 55% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 Specific Gravity Urine Manual | $107.55 | $239.00 | 55% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 Ketones Ur Ql | $107.55 | $239.00 | 55% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 .Bill Only DS Man/No MSc | $107.55 | $239.00 | 55% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 Dipstick Type? - Manual | $107.55 | $239.00 | 55% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 .Urinalysis Manual w/o MicroSc POC | $107.55 | $239.00 | 55% |
Surgery and procedures
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Cataract surgery with lens implant CPT 66984 66984,52,55,LT CATARACT SURG W/IOL 1 STAGE,POSTOP | $500.58 | $1,854.00 | 73% |
| Cataract surgery with lens implant CPT 66984 66984 CATARACT SURG W/IOL 1 STAGE | $500.58 | $1,854.00 | 73% |
| Cataract surgery with lens implant CPT 66984 66984,RT CATARACT SURG W/IOL 1 STAGE | $500.58 | $1,854.00 | 73% |
| Cataract surgery with lens implant CPT 66984 66984,LT CATARACT SURG W/IOL 1 STAGE | $500.58 | $1,854.00 | 73% |
| Cataract surgery with lens implant CPT 66984 REMOVE CATARACT/INSERT LENS | $6,962.45 | $25,786.87 | 73% |
| Cataract surgery with lens implant inpatient CPT 66984 66984,RT CATARACT SURG W/IOL 1 STAGE | $834.30 | $1,854.00 | 55% |
| Cataract surgery with lens implant inpatient CPT 66984 66984,52,55,LT CATARACT SURG W/IOL 1 STAGE,POSTOP | $834.30 | $1,854.00 | 55% |
| Cataract surgery with lens implant inpatient CPT 66984 66984 CATARACT SURG W/IOL 1 STAGE | $834.30 | $1,854.00 | 55% |
| Cataract surgery with lens implant inpatient CPT 66984 66984,LT CATARACT SURG W/IOL 1 STAGE | $834.30 | $1,854.00 | 55% |
| Cesarean delivery, including prenatal and postpartum care CPT 59510 59510 CESAREAN DELIVERY | $1,577.61 | $5,843.00 | 73% |
| Cesarean delivery, including prenatal and postpartum care inpatient CPT 59510 59510 CESAREAN DELIVERY | $2,629.35 | $5,843.00 | 55% |
| Colonoscopy with endoscopic ultrasound CPT 45391 45391 COLONOSCOPY W/ENDOSCOPE US | $203.58 | $754.00 | 73% |
| Colonoscopy with endoscopic ultrasound inpatient CPT 45391 45391 COLONOSCOPY W/ENDOSCOPE US | $339.30 | $754.00 | 55% |
| Colonoscopy with polyp removal CPT 45385 45385,53 COLONOSCOPY - SNARE | $235.17 | $871.00 | 73% |
| Colonoscopy with polyp removal CPT 45385 45385,52 COLONOSCOPY - SNARE | $235.17 | $871.00 | 73% |
| Colonoscopy with polyp removal CPT 45385 45385,52,33 LESION REMOVAL COLONOSCOPY,PREVENTIVE | $316.98 | $1,174.00 | 73% |
| Colonoscopy with polyp removal CPT 45385 45385,52,PT LESION REMOVAL COLONOSCOPY,SCREENING | $316.98 | $1,174.00 | 73% |
| Colonoscopy with polyp removal CPT 45385 45385,53 COLONOSCOPY W/LESION REMOVAL | $316.98 | $1,174.00 | 73% |
| Colonoscopy with polyp removal CPT 45385 45385,53,33 COLONOSCOPY W/LESION REMOVAL,PREVENTI | $316.98 | $1,174.00 | 73% |
| Colonoscopy with polyp removal CPT 45385 45385,53,PT COLONOSCOPY W/LESION REMOVAL,SCREENIN | $316.98 | $1,174.00 | 73% |
| Colonoscopy with polyp removal CPT 45385 45385 COLONOSCOPY - SNARE | $316.98 | $1,174.00 | 73% |
| Colonoscopy with polyp removal CPT 45385 45385,52 LESION REMOVAL COLONOSCOPY | $316.98 | $1,174.00 | 73% |
| Colonoscopy with polyp removal CPT 45385 LESION REMOVAL COLONOSCOPY | $3,010.03 | $11,148.26 | 73% |
| Colonoscopy with polyp removal inpatient CPT 45385 45385,53 COLONOSCOPY - SNARE | $391.95 | $871.00 | 55% |
| Colonoscopy with polyp removal inpatient CPT 45385 45385,52 COLONOSCOPY - SNARE | $413.10 | $918.00 | 55% |
| Colonoscopy with polyp removal inpatient CPT 45385 45385,52,PT LESION REMOVAL COLONOSCOPY,SCREENING | $528.30 | $1,174.00 | 55% |
| Colonoscopy with polyp removal inpatient CPT 45385 45385,53 COLONOSCOPY W/LESION REMOVAL | $528.30 | $1,174.00 | 55% |
| Colonoscopy with polyp removal inpatient CPT 45385 45385,52 LESION REMOVAL COLONOSCOPY | $528.30 | $1,174.00 | 55% |
| Colonoscopy with polyp removal inpatient CPT 45385 45385,53,PT COLONOSCOPY W/LESION REMOVAL,SCREENIN | $528.30 | $1,174.00 | 55% |
| Colonoscopy with polyp removal inpatient CPT 45385 45385 COLONOSCOPY - SNARE | $528.30 | $1,174.00 | 55% |
| Colonoscopy with polyp removal inpatient CPT 45385 45385,53,33 COLONOSCOPY W/LESION REMOVAL,PREVENTI | $528.30 | $1,174.00 | 55% |
| Colonoscopy with polyp removal inpatient CPT 45385 45385,52,33 LESION REMOVAL COLONOSCOPY,PREVENTIVE | $528.30 | $1,174.00 | 55% |
| Colonoscopy with tissue sample CPT 45380 45380,52 COLONOSCOPY AND BIOPSY | $267.03 | $989.00 | 73% |
| Colonoscopy with tissue sample CPT 45380 45380,52,33 COLONOSCOPY AND BIOPSY,PREVENTIVE SER | $267.03 | $989.00 | 73% |
| Colonoscopy with tissue sample CPT 45380 45380,52,59 COLONOSCOPY AND BIOPSY,DISTINCT PROCE | $267.03 | $989.00 | 73% |
| Colonoscopy with tissue sample CPT 45380 45380,53 COLONOSCOPY AND BIOPSY | $267.03 | $989.00 | 73% |
| Colonoscopy with tissue sample CPT 45380 45380,53,59 COLONOSCOPY AND BIOPSY,DISTINCT PROCE | $267.03 | $989.00 | 73% |
| Colonoscopy with tissue sample CPT 45380 45380,53,59,PT COLONOSCOPY AND BIOPSY,DISTINCT PR | $267.03 | $989.00 | 73% |
| Colonoscopy with tissue sample CPT 45380 45380,53,PT COLONOSCOPY AND BIOPSY,SCREENING TEST | $267.03 | $989.00 | 73% |
| Colonoscopy with tissue sample CPT 45380 45380 COLONOSCOPY AND BIOPSY | $267.03 | $989.00 | 73% |
| Colonoscopy with tissue sample CPT 45380 COLONOSCOPY AND BIOPSY | $3,101.26 | $11,486.14 | 73% |
| Colonoscopy with tissue sample inpatient CPT 45380 45380,52,33 COLONOSCOPY AND BIOPSY,PREVENTIVE SER | $445.05 | $989.00 | 55% |
| Colonoscopy with tissue sample inpatient CPT 45380 45380,53,59 COLONOSCOPY AND BIOPSY,DISTINCT PROCE | $445.05 | $989.00 | 55% |
| Colonoscopy with tissue sample inpatient CPT 45380 45380,52,59 COLONOSCOPY AND BIOPSY,DISTINCT PROCE | $445.05 | $989.00 | 55% |
| Colonoscopy with tissue sample inpatient CPT 45380 45380,53,PT COLONOSCOPY AND BIOPSY,SCREENING TEST | $445.05 | $989.00 | 55% |
| Colonoscopy with tissue sample inpatient CPT 45380 45380 COLONOSCOPY AND BIOPSY | $445.05 | $989.00 | 55% |
| Colonoscopy with tissue sample inpatient CPT 45380 45380,53,59,PT COLONOSCOPY AND BIOPSY,DISTINCT PR | $445.05 | $989.00 | 55% |
| Colonoscopy with tissue sample inpatient CPT 45380 45380,53 COLONOSCOPY AND BIOPSY | $609.30 | $1,354.00 | 55% |
| Colonoscopy with tissue sample inpatient CPT 45380 45380,52 COLONOSCOPY AND BIOPSY | $609.30 | $1,354.00 | 55% |
| Colonoscopy, diagnostic CPT 45378 45378,53,79 DIAGNOSTIC COLONOSCOPY,UNRELATED PROC | $223.56 | $828.00 | 73% |
| Colonoscopy, diagnostic CPT 45378 45378,52,51 DIAGNOSTIC COLONOSCOPY,MULTIPLE PROCE | $223.56 | $828.00 | 73% |
| Colonoscopy, diagnostic CPT 45378 45378,52 DIAGNOSTIC COLONOSCOPY | $223.56 | $828.00 | 73% |
| Colonoscopy, diagnostic CPT 45378 45378 DIAGNOSTIC COLONOSCOPY | $223.56 | $828.00 | 73% |
| Colonoscopy, diagnostic CPT 45378 45378,53,PT DIAGNOSTIC COLONOSCOPY,SCREENING TEST | $223.56 | $828.00 | 73% |
| Colonoscopy, diagnostic CPT 45378 45378,53,GZ DIAGNOSTIC COLONOSCOPY,ITEM OR SERVIC | $223.56 | $828.00 | 73% |
| Colonoscopy, diagnostic CPT 45378 45378,53,GA DIAGNOSTIC COLONOSCOPY,WAIVER OF LIAB | $223.56 | $828.00 | 73% |
| Colonoscopy, diagnostic CPT 45378 45378,53,AQ DIAGNOSTIC COLONOSCOPY,PHYSICIAN SERV | $223.56 | $828.00 | 73% |
| Colonoscopy, diagnostic CPT 45378 45378,53 DIAGNOSTIC COLONOSCOPY | $223.56 | $828.00 | 73% |
| Colonoscopy, diagnostic CPT 45378 45378,52,GA DIAGNOSTIC COLONOSCOPY,WAIVER OF LIAB | $223.56 | $828.00 | 73% |
| Colonoscopy, diagnostic CPT 45378 45378,53,33 DIAGNOSTIC COLONOSCOPY,PREVENTIVE SER | $223.56 | $828.00 | 73% |
| Colonoscopy, diagnostic CPT 45378 45378,52,GY DIAGNOSTIC COLONOSCOPY,ITEM OR SERVIC | $223.56 | $828.00 | 73% |
| Colonoscopy, diagnostic CPT 45378 45378,53,58 DIAGNOSTIC COLONOSCOPY,STAGED OR RELA | $223.56 | $828.00 | 73% |
| Colonoscopy, diagnostic CPT 45378 45378,52,GZ DIAGNOSTIC COLONOSCOPY,ITEM OR SERVIC | $223.56 | $828.00 | 73% |
| Colonoscopy, diagnostic CPT 45378 45378,53,59 DIAGNOSTIC COLONOSCOPY,DISTINCT PROCE | $223.56 | $828.00 | 73% |
| Colonoscopy, diagnostic CPT 45378 DIAGNOSTIC COLONOSCOPY | $2,194.22 | $8,126.73 | 73% |
| Colonoscopy, diagnostic inpatient CPT 45378 45378,52,51 DIAGNOSTIC COLONOSCOPY,MULTIPLE PROCE | $372.60 | $828.00 | 55% |
| Colonoscopy, diagnostic inpatient CPT 45378 45378,52,GY DIAGNOSTIC COLONOSCOPY,ITEM OR SERVIC | $372.60 | $828.00 | 55% |
| Colonoscopy, diagnostic inpatient CPT 45378 45378,52,GZ DIAGNOSTIC COLONOSCOPY,ITEM OR SERVIC | $372.60 | $828.00 | 55% |
| Colonoscopy, diagnostic inpatient CPT 45378 45378,52,GA DIAGNOSTIC COLONOSCOPY,WAIVER OF LIAB | $372.60 | $828.00 | 55% |
| Colonoscopy, diagnostic inpatient CPT 45378 45378 DIAGNOSTIC COLONOSCOPY | $372.60 | $828.00 | 55% |
| Colonoscopy, diagnostic inpatient CPT 45378 45378,53,PT DIAGNOSTIC COLONOSCOPY,SCREENING TEST | $372.60 | $828.00 | 55% |
| Colonoscopy, diagnostic inpatient CPT 45378 45378,53,GZ DIAGNOSTIC COLONOSCOPY,ITEM OR SERVIC | $372.60 | $828.00 | 55% |
| Colonoscopy, diagnostic inpatient CPT 45378 45378,53,GA DIAGNOSTIC COLONOSCOPY,WAIVER OF LIAB | $372.60 | $828.00 | 55% |
| Colonoscopy, diagnostic inpatient CPT 45378 45378,53,AQ DIAGNOSTIC COLONOSCOPY,PHYSICIAN SERV | $372.60 | $828.00 | 55% |
| Colonoscopy, diagnostic inpatient CPT 45378 45378,53,79 DIAGNOSTIC COLONOSCOPY,UNRELATED PROC | $372.60 | $828.00 | 55% |
| Colonoscopy, diagnostic inpatient CPT 45378 45378,53,59 DIAGNOSTIC COLONOSCOPY,DISTINCT PROCE | $372.60 | $828.00 | 55% |
| Colonoscopy, diagnostic inpatient CPT 45378 45378,53,58 DIAGNOSTIC COLONOSCOPY,STAGED OR RELA | $372.60 | $828.00 | 55% |
| Colonoscopy, diagnostic inpatient CPT 45378 45378,53,33 DIAGNOSTIC COLONOSCOPY,PREVENTIVE SER | $372.60 | $828.00 | 55% |
| Colonoscopy, diagnostic inpatient CPT 45378 45378,53 DIAGNOSTIC COLONOSCOPY | $372.60 | $828.00 | 55% |
| Colonoscopy, diagnostic inpatient CPT 45378 45378,52 DIAGNOSTIC COLONOSCOPY | $554.40 | $1,232.00 | 55% |
| Gallbladder removal, laparoscopic CPT 47562 47562 LAPAROSCOPIC CHOLECYSTECTOMY | $665.55 | $2,465.00 | 73% |
| Gallbladder removal, laparoscopic CPT 47562 LAPAROSCOPIC CHOLECYSTECTOMY | $13,188.34 | $48,845.71 | 73% |
| Gallbladder removal, laparoscopic inpatient CPT 47562 47562,80 LAPAROSCOPIC CHOLECYSTECTOMY | $554.85 | $1,233.00 | 55% |
| Gallbladder removal, laparoscopic inpatient CPT 47562 47562 LAPAROSCOPIC CHOLECYSTECTOMY | $1,109.25 | $2,465.00 | 55% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 49505,RT PRP I/HERN INIT REDUC>5 YR | $527.58 | $1,954.00 | 73% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 49505,LT PRP I/HERN INIT REDUC>5 YR | $527.58 | $1,954.00 | 73% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 49505 PRP I/HERN INIT REDUC>5 YR | $527.58 | $1,954.00 | 73% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 49505 50 PRP I/HERN INIT REDUC>5 YR | $791.37 | $2,931.00 | 73% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 REPAIR INGUINAL HERNIA | $13,859.90 | $51,332.96 | 73% |
| Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 49505,RT PRP I/HERN INIT REDUC>5 YR | $879.30 | $1,954.00 | 55% |
| Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 49505 PRP I/HERN INIT REDUC>5 YR | $879.30 | $1,954.00 | 55% |
| Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 49505,LT PRP I/HERN INIT REDUC>5 YR | $879.30 | $1,954.00 | 55% |
| Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 49505 50 PRP I/HERN INIT REDUC>5 YR | $1,318.95 | $2,931.00 | 55% |
| Knee arthroscopy with meniscus trim CPT 29881 29881 KNEE ARTHROSCOPY/SURGERY | $554.04 | $2,052.00 | 73% |
| Knee arthroscopy with meniscus trim CPT 29881 29881,LT KNEE ARTHROSCOPY/SURGERY | $554.04 | $2,052.00 | 73% |
| Knee arthroscopy with meniscus trim CPT 29881 29881,RT KNEE ARTHROSCOPY/SURGERY | $554.04 | $2,052.00 | 73% |
| Knee arthroscopy with meniscus trim CPT 29881 KNEE ARTHROSCOPY/SURGERY | $13,850.08 | $51,296.59 | 73% |
| Knee arthroscopy with meniscus trim inpatient CPT 29881 29881,AS KNEE ARTHROSCOPY/SURGERY | $309.15 | $687.00 | 55% |
| Knee arthroscopy with meniscus trim inpatient CPT 29881 29881,RT KNEE ARTHROSCOPY/SURGERY | $923.40 | $2,052.00 | 55% |
| Knee arthroscopy with meniscus trim inpatient CPT 29881 29881 KNEE ARTHROSCOPY/SURGERY | $923.40 | $2,052.00 | 55% |
| Knee arthroscopy with meniscus trim inpatient CPT 29881 29881,LT KNEE ARTHROSCOPY/SURGERY | $923.40 | $2,052.00 | 55% |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 66821,RT AFTER CATARACT LASER SURGERY | $212.49 | $787.00 | 73% |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 66821,LT AFTER CATARACT LASER SURGERY | $212.49 | $787.00 | 73% |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 66821 AFTER CATARACT LASER SURGERY | $212.49 | $787.00 | 73% |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 66821 50 AFTER CATARACT LASER SURGERY | $318.87 | $1,181.00 | 73% |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 AFTER CATARACT LASER SURGERY | $4,533.42 | $16,790.46 | 73% |
| Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 66821,LT AFTER CATARACT LASER SURGERY | $354.15 | $787.00 | 55% |
| Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 66821 AFTER CATARACT LASER SURGERY | $354.15 | $787.00 | 55% |
| Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 66821,RT AFTER CATARACT LASER SURGERY | $354.15 | $787.00 | 55% |
| Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 66821 50 AFTER CATARACT LASER SURGERY | $531.45 | $1,181.00 | 55% |
| Left heart catheterization, diagnostic CPT 93452 CC-LHC VENT PUNC - Dept 106 | $3,538.35 | $13,105.00 | 73% |
| Left heart catheterization, diagnostic CPT 93452 CC-LHC VENT PUNC - GL 106 | $3,538.35 | $13,105.00 | 73% |
| Left heart catheterization, diagnostic inpatient CPT 93452 CC-LHC VENT PUNC - Dept 106 | $5,897.25 | $13,105.00 | 55% |
| Left heart catheterization, diagnostic inpatient CPT 93452 CC-LHC VENT PUNC - GL 106 | $5,897.25 | $13,105.00 | 55% |
| Left heart catheterization, diagnostic inpatient one side CPT 93452 93452 LEFT HEART CATH W/LEFT VENT | $989.55 | $2,199.00 | 55% |
| Lower-back epidural injection, with imaging guidance CPT 62323 IR Inj Catheter Placement L-S w Imaging - BCE | $964.44 | $3,572.00 | 73% |
| Lower-back epidural injection, with imaging guidance CPT 62323 S-DI L-S INJ W IM - Dept 106 | $964.44 | $3,572.00 | 73% |
| Lower-back epidural injection, with imaging guidance CPT 62323 IR Inj Catheter Placement L-S w Imaging | $964.44 | $3,572.00 | 73% |
| Lower-back epidural injection, with imaging guidance CPT 62323 IR-DI L-S INJ W IM - BCE | $964.44 | $3,572.00 | 73% |
| Lower-back epidural injection, with imaging guidance CPT 62323 NJX INTERLAMINAR LMBR/SAC | $5,174.15 | $19,163.53 | 73% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 IR-DI L-S INJ W IM - BCE | $1,607.40 | $3,572.00 | 55% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 IR Inj Catheter Placement L-S w Imaging | $1,607.40 | $3,572.00 | 55% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 IR Inj Catheter Placement L-S w Imaging - BCE | $1,607.40 | $3,572.00 | 55% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 S-DI L-S INJ W IM - Dept 106 | $1,607.40 | $3,572.00 | 55% |
| Lower-back epidural injection, without imaging guidance CPT 62322 62322 INJECTION INTERLAMINAR | $185.22 | $686.00 | 73% |
| Lower-back epidural injection, without imaging guidance CPT 62322 62322 NJX INTERLAMINAR LMBR/SAC | $185.22 | $686.00 | 73% |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 62322 NJX INTERLAMINAR LMBR/SAC | $308.70 | $686.00 | 55% |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 62322 INJECTION INTERLAMINAR | $308.70 | $686.00 | 55% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 IR-Transepi INJ L S - BCE | $1,031.94 | $3,822.00 | 73% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 INJ FORAMEN EPIDURAL L/S | $5,280.57 | $19,557.67 | 73% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 IR-Transepi INJ L S - BCE | $1,719.90 | $3,822.00 | 55% |
| Prostate biopsy CPT 55700 S-PROSTATE NDL BX | $659.88 | $2,444.00 | 73% |
| Prostate biopsy CPT 55700 55700 - Biopsy, prostate; needle or punch, single | $659.88 | $2,444.00 | 73% |
| Prostate biopsy CPT 55700 BIOPSY OF PROSTATE | $7,578.55 | $28,068.71 | 73% |
| Prostate biopsy inpatient CPT 55700 55700 - Biopsy, prostate; needle or punch, single | $1,099.80 | $2,444.00 | 55% |
| Prostate biopsy inpatient CPT 55700 S-PROSTATE NDL BX | $1,099.80 | $2,444.00 | 55% |
| Prostate removal (prostatectomy), laparoscopic CPT 55866 55866 LAPARO RADICAL PROSTATECTOMY | $946.08 | $3,504.00 | 73% |
| Prostate removal (prostatectomy), laparoscopic CPT 55866 LAPS SURG PRST8ECT RPBIC RAD | $30,479.51 | $112,887.09 | 73% |
| Prostate removal (prostatectomy), laparoscopic inpatient CPT 55866 55866 LAPARO RADICAL PROSTATECTOMY | $1,576.80 | $3,504.00 | 55% |
| Removal of a breast lump, open surgery CPT 19120 19120,RT REMOVAL OF BREAST LESION | $417.96 | $1,548.00 | 73% |
| Removal of a breast lump, open surgery CPT 19120 19120,LT REMOVAL OF BREAST LESION | $417.96 | $1,548.00 | 73% |
| Removal of a breast lump, open surgery CPT 19120 19120 REMOVAL OF BREAST LESION | $417.96 | $1,548.00 | 73% |
| Removal of a breast lump, open surgery CPT 19120 19120 50 REMOVAL OF BREAST LESION | $470.34 | $1,742.00 | 73% |
| Removal of a breast lump, open surgery CPT 19120 REMOVAL OF BREAST LESION | $11,554.52 | $42,794.50 | 73% |
| Removal of a breast lump, open surgery inpatient CPT 19120 19120 REMOVAL OF BREAST LESION | $696.60 | $1,548.00 | 55% |
| Removal of a breast lump, open surgery inpatient CPT 19120 19120,LT REMOVAL OF BREAST LESION | $696.60 | $1,548.00 | 55% |
| Removal of a breast lump, open surgery inpatient CPT 19120 19120,RT REMOVAL OF BREAST LESION | $696.60 | $1,548.00 | 55% |
| Removal of a breast lump, open surgery inpatient CPT 19120 19120 50 REMOVAL OF BREAST LESION | $783.90 | $1,742.00 | 55% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 SHOULDER ARTHROSCOPY/SURGERY | $18,508.49 | $68,549.98 | 73% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) inpatient CPT 29826 29826 SHOULDER ARTHROSCOPY/SURGERY | $296.10 | $658.00 | 55% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) inpatient CPT 29826 29826,LT SHOULDER ARTHROSCOPY/SURGERY | $296.10 | $658.00 | 55% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) inpatient CPT 29826 29826,RT SHOULDER ARTHROSCOPY/SURGERY | $296.10 | $658.00 | 55% |
| Tonsil and adenoid removal, child under 12 CPT 42820 REMOVE TONSILS AND ADENOIDS | $9,261.04 | $34,300.16 | 73% |
| Tonsil and adenoid removal, child under 12 inpatient CPT 42820 42820 REMOVE TONSILS AND ADENOIDS | $506.25 | $1,125.00 | 55% |
| Total hip replacement CPT 27130 27130,RT TOTAL HIP ARTHROPLASTY | $1,462.59 | $5,417.00 | 73% |
| Total hip replacement CPT 27130 27130,LT TOTAL HIP ARTHROPLASTY | $1,462.59 | $5,417.00 | 73% |
| Total hip replacement CPT 27130 27130 TOTAL HIP ARTHROPLASTY | $1,462.59 | $5,417.00 | 73% |
| Total hip replacement CPT 27130 TOTAL HIP REPLACEMENT | $38,847.47 | $143,879.53 | 73% |
| Total hip replacement inpatient CPT 27130 27130,AS TOTAL HIP ARTHROPLASTY | $778.05 | $1,729.00 | 55% |
| Total hip replacement inpatient CPT 27130 27130,80 TOTAL HIP ARTHROPLASTY | $778.05 | $1,729.00 | 55% |
| Total hip replacement inpatient CPT 27130 27130 TOTAL HIP ARTHROPLASTY | $2,437.65 | $5,417.00 | 55% |
| Total hip replacement inpatient CPT 27130 27130,RT TOTAL HIP ARTHROPLASTY | $2,437.65 | $5,417.00 | 55% |
| Total hip replacement inpatient CPT 27130 27130,LT TOTAL HIP ARTHROPLASTY | $2,437.65 | $5,417.00 | 55% |
| Total knee replacement CPT 27447 27447,RT TOTAL KNEE ARTHROPLASTY | $878.04 | $3,252.00 | 73% |
| Total knee replacement CPT 27447 27447,LT TOTAL KNEE ARTHROPLASTY | $878.04 | $3,252.00 | 73% |
| Total knee replacement CPT 27447 27447 TOTAL KNEE ARTHROPLASTY | $878.04 | $3,252.00 | 73% |
| Total knee replacement CPT 27447 27447 50 TOTAL KNEE ARTHROPLASTY | $1,317.06 | $4,878.00 | 73% |
| Total knee replacement CPT 27447 TOTAL KNEE REPLACEMENT | $37,139.04 | $137,552.00 | 73% |
| Total knee replacement inpatient CPT 27447 27447,AS TOTAL KNEE ARTHROPLASTY | $777.60 | $1,728.00 | 55% |
| Total knee replacement inpatient CPT 27447 27447,80 TOTAL KNEE ARTHROPLASTY | $777.60 | $1,728.00 | 55% |
| Total knee replacement inpatient CPT 27447 27447,RT TOTAL KNEE ARTHROPLASTY | $1,728.00 | $3,840.00 | 55% |
| Total knee replacement inpatient CPT 27447 27447 TOTAL KNEE ARTHROPLASTY | $1,728.00 | $3,840.00 | 55% |
| Total knee replacement inpatient CPT 27447 27447,LT TOTAL KNEE ARTHROPLASTY | $1,728.00 | $3,840.00 | 55% |
| Total knee replacement inpatient CPT 27447 27447 50 TOTAL KNEE ARTHROPLASTY | $2,195.10 | $4,878.00 | 55% |
| Upper endoscopy (EGD) with biopsy CPT 43239 43239 53 EGD BIOPSY SINGLE/MULTIPLE | $177.39 | $657.00 | 73% |
| Upper endoscopy (EGD) with biopsy CPT 43239 43239 EGD BIOPSY SINGLE/MULTIPLE | $177.39 | $657.00 | 73% |
| Upper endoscopy (EGD) with biopsy CPT 43239 43239,52 EGD BIOPSY SINGLE/MULTIPLE | $177.39 | $657.00 | 73% |
| Upper endoscopy (EGD) with biopsy CPT 43239 43239,52,58 EGD BIOPSY SINGLE/MULTIPLE,STAGED OR | $177.39 | $657.00 | 73% |
| Upper endoscopy (EGD) with biopsy CPT 43239 43239,53 EGD BIOPSY SINGLE/MULTIPLE | $177.39 | $657.00 | 73% |
| Upper endoscopy (EGD) with biopsy CPT 43239 UPPER GI ENDOSCOPY, BIOPSY | $3,018.93 | $11,181.22 | 73% |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 43239,52,58 EGD BIOPSY SINGLE/MULTIPLE,STAGED OR | $295.65 | $657.00 | 55% |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 43239 EGD BIOPSY SINGLE/MULTIPLE | $295.65 | $657.00 | 55% |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 43239 53 EGD BIOPSY SINGLE/MULTIPLE | $295.65 | $657.00 | 55% |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 43239,53 EGD BIOPSY SINGLE/MULTIPLE | $295.65 | $657.00 | 55% |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 43239,52 EGD BIOPSY SINGLE/MULTIPLE | $295.65 | $657.00 | 55% |
| Upper endoscopy (EGD), diagnostic CPT 43235 43235 EGD DIAGNOSTIC BRUSH WASH | $150.12 | $556.00 | 73% |
| Upper endoscopy (EGD), diagnostic CPT 43235 43235,52 EGD DIAGNOSTIC BRUSH WASH | $150.12 | $556.00 | 73% |
| Upper endoscopy (EGD), diagnostic CPT 43235 43235,53 EGD DIAGNOSTIC BRUSH WASH | $150.12 | $556.00 | 73% |
| Upper endoscopy (EGD), diagnostic CPT 43235 43235,53,59 EGD DIAGNOSTIC BRUSH WASH,DISTINCT PR | $150.12 | $556.00 | 73% |
| Upper endoscopy (EGD), diagnostic CPT 43235 UPPR GI ENDOSCOPY, DIAGNOSIS | $2,679.41 | $9,923.75 | 73% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 43235,52 EGD DIAGNOSTIC BRUSH WASH | $250.20 | $556.00 | 55% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 43235,53 EGD DIAGNOSTIC BRUSH WASH | $250.20 | $556.00 | 55% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 43235 EGD DIAGNOSTIC BRUSH WASH | $250.20 | $556.00 | 55% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 43235,53,59 EGD DIAGNOSTIC BRUSH WASH,DISTINCT PR | $250.20 | $556.00 | 55% |
| Vaginal birth after cesarean (VBAC), including prenatal and postpartum care CPT 59610 59610 VBAC DELIVERY | $1,495.26 | $5,538.00 | 73% |
| Vaginal birth after cesarean (VBAC), including prenatal and postpartum care inpatient CPT 59610 59610 VBAC DELIVERY | $2,492.10 | $5,538.00 | 55% |
| Vaginal delivery, including prenatal and postpartum care CPT 59400 59400 Obstetric Care Routine | $1,429.38 | $5,294.00 | 73% |
| Vaginal delivery, including prenatal and postpartum care inpatient CPT 59400 59400 Obstetric Care Routine | $2,382.30 | $5,294.00 | 55% |
Doctor visits and therapy
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 93000 EKG POC AMB -BCE | $18.63 | $69.00 | 73% |
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 EKG POC AMB | $18.63 | $69.00 | 73% |
| Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 93000 EKG POC AMB -BCE | $31.05 | $69.00 | 55% |
| Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 EKG POC AMB | $31.05 | $69.00 | 55% |
| Family therapy without the patient, 50 minutes CPT 90846 90846 FAMILY PSYTX W/O PATIENT | $71.55 | $265.00 | 73% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 90846 FAMILY PSYTX W/O PATIENT | $119.25 | $265.00 | 55% |
| New patient office visit, about 30 minutes CPT 99203 99203,25 OFFICE/OUTPATIENT VISIT NEW | $42.93 | $159.00 | 73% |
| New patient office visit, about 30 minutes CPT 99203 99203 OFFICE/OUTPATIENT VISIT NEW | $42.93 | $159.00 | 73% |
| New patient office visit, about 30 minutes inpatient CPT 99203 99203,25 OFFICE/OUTPATIENT VISIT NEW | $71.55 | $159.00 | 55% |
| New patient office visit, about 30 minutes inpatient CPT 99203 99203 OFFICE/OUTPATIENT VISIT NEW | $71.55 | $159.00 | 55% |
| New patient office visit, about 45 minutes CPT 99204 99204 OFFICE/OUTPATIENT VISIT NEW | $72.36 | $268.00 | 73% |
| New patient office visit, about 45 minutes CPT 99204 99204,25 OFFICE/OUTPATIENT VISIT NEW | $72.36 | $268.00 | 73% |
| New patient office visit, about 45 minutes inpatient CPT 99204 99204 OFFICE/OUTPATIENT VISIT NEW | $120.60 | $268.00 | 55% |
| New patient office visit, about 45 minutes inpatient CPT 99204 99204,25 OFFICE/OUTPATIENT VISIT NEW | $120.60 | $268.00 | 55% |
| New patient office visit, about 60 minutes CPT 99205 99205,25 OFFICE/OUTPATIENT VISIT NEW | $93.15 | $345.00 | 73% |
| New patient office visit, about 60 minutes CPT 99205 99205 OFFICE/OUTPATIENT VISIT NEW | $93.15 | $345.00 | 73% |
| New patient office visit, about 60 minutes CPT 99205 99205,LT OFFICE/OUTPATIENT VISIT NEW | $93.15 | $345.00 | 73% |
| New patient office visit, about 60 minutes inpatient CPT 99205 99205 OFFICE/OUTPATIENT VISIT NEW | $155.25 | $345.00 | 55% |
| New patient office visit, about 60 minutes inpatient CPT 99205 99205,25 OFFICE/OUTPATIENT VISIT NEW | $155.25 | $345.00 | 55% |
| New patient office visit, about 60 minutes inpatient CPT 99205 99205,LT OFFICE/OUTPATIENT VISIT NEW | $155.25 | $345.00 | 55% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 97110 THERAPEUTIC EXERCISES | $22.41 | $83.00 | 73% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT Therapeutic Exercise Assistant Charge | $87.48 | $324.00 | 73% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT Therapeutic Exercise Assistant Charge | $87.48 | $324.00 | 73% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAP EXERCS-15 MIN - UDS 185 | $87.48 | $324.00 | 73% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAP EXERCS-15 MIN - UDS 181 | $87.48 | $324.00 | 73% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAP EXERCS-15 MIN - REDOC 185 | $87.48 | $324.00 | 73% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAP EXERCS-15 MIN - REDOC 181 | $87.48 | $324.00 | 73% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT Therapeutic Exercise Charges | $87.48 | $324.00 | 73% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT Therapeutic Exercise Charges | $87.48 | $324.00 | 73% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT Therapeutic Exercise Units | $87.48 | $324.00 | 73% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT Therapeutic Exercise Units | $87.48 | $324.00 | 73% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERCISES EA 15 MIN COTA - Redoc 185 | $87.48 | $324.00 | 73% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERCISES EA 15 MIN PTA - Redoc 181 | $87.48 | $324.00 | 73% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 97110 THERAPEUTIC EXERCISES | $37.35 | $83.00 | 55% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAP EXERCS-15 MIN - UDS 181 | $145.80 | $324.00 | 55% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OT Therapeutic Exercise Assistant Charge | $145.80 | $324.00 | 55% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT Therapeutic Exercise Charges | $145.80 | $324.00 | 55% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT Therapeutic Exercise Assistant Charge | $145.80 | $324.00 | 55% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAP EXERCS-15 MIN - REDOC 185 | $145.80 | $324.00 | 55% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OT Therapeutic Exercise Charges | $145.80 | $324.00 | 55% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAPEUTIC EXERCISES EA 15 MIN PTA - Redoc 181 | $145.80 | $324.00 | 55% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OT Therapeutic Exercise Units | $145.80 | $324.00 | 55% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAP EXERCS-15 MIN - UDS 185 | $145.80 | $324.00 | 55% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAPEUTIC EXERCISES EA 15 MIN COTA - Redoc 185 | $145.80 | $324.00 | 55% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAP EXERCS-15 MIN - REDOC 181 | $145.80 | $324.00 | 55% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT Therapeutic Exercise Units | $145.80 | $324.00 | 55% |
| Preventive checkup, new patient aged 18–39 CPT 99385 99385,25 PREV VISIT NEW AGE 18-39 | $51.84 | $192.00 | 73% |
| Preventive checkup, new patient aged 18–39 CPT 99385 99385 PREV VISIT NEW AGE 18-39 | $51.84 | $192.00 | 73% |
| Preventive checkup, new patient aged 18–39 inpatient CPT 99385 99385 PREV VISIT NEW AGE 18-39 | $86.40 | $192.00 | 55% |
| Preventive checkup, new patient aged 18–39 inpatient CPT 99385 99385,25 PREV VISIT NEW AGE 18-39 | $86.40 | $192.00 | 55% |
| Preventive checkup, new patient aged 40–64 CPT 99386 99386,25 PREV VISIT NEW AGE 40-64 | $62.91 | $233.00 | 73% |
| Preventive checkup, new patient aged 40–64 CPT 99386 99386 PREV VISIT NEW AGE 40-64 | $62.91 | $233.00 | 73% |
| Preventive checkup, new patient aged 40–64 inpatient CPT 99386 99386,25 PREV VISIT NEW AGE 40-64 | $104.85 | $233.00 | 55% |
| Preventive checkup, new patient aged 40–64 inpatient CPT 99386 99386 PREV VISIT NEW AGE 40-64 | $104.85 | $233.00 | 55% |
| Psychotherapy session, 30 minutes CPT 90832 90832 PSYTX PT&/FAMILY 30 MINUTES | $24.03 | $89.00 | 73% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 90832 PSYTX PT&/FAMILY 30 MINUTES | $74.25 | $165.00 | 55% |
| Psychotherapy session, 45 minutes CPT 90834 90834 PSYTX PT&/FAMILY 45 MINUTES | $35.91 | $133.00 | 73% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 90834 PSYTX PT&/FAMILY 45 MINUTES | $98.55 | $219.00 | 55% |
| Psychotherapy session, 60 minutes CPT 90837 90837 PSYTX PT&/FAMILY 60 MINUTES | $54.27 | $201.00 | 73% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 90837 PSYTX PT&/FAMILY 60 MINUTES | $148.05 | $329.00 | 55% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 99243,25 OFFICE CONSULTATION | $67.23 | $249.00 | 73% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 99243,RT OFFICE CONSULTATION | $67.23 | $249.00 | 73% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 99243 OFFICE CONSULTATION | $67.23 | $249.00 | 73% |
| Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 99243 OFFICE CONSULTATION | $112.05 | $249.00 | 55% |
| Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 99243,25 OFFICE CONSULTATION | $112.05 | $249.00 | 55% |
| Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 99243,RT OFFICE CONSULTATION | $112.05 | $249.00 | 55% |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 99244,25 OFFICE CONSULTATION | $100.98 | $374.00 | 73% |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 99244 OFFICE CONSULTATION | $100.98 | $374.00 | 73% |
| Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 99244 OFFICE CONSULTATION | $168.30 | $374.00 | 55% |
| Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 99244,25 OFFICE CONSULTATION | $168.30 | $374.00 | 55% |